Increasing surgical rate of clavicle fractures and acromioclavicular dislocations in Chile: analysis over the last 15 years reveals disparities in access according to insurance type

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dc.article.number316
dc.catalogadorpva
dc.contributor.authorVidal Olate, Catalina Victoria
dc.contributor.authorMarinis Acle, Rodrigo Ignacio de
dc.contributor.authorLiendo Verdugo, Rodrigo Javier
dc.contributor.authorSilva Canales, Isadora Camila del Carmen
dc.contributor.authorLira Salas, María Jesús
dc.contributor.authorContreras Fernández, Julio José
dc.date.accessioned2025-04-09T19:39:48Z
dc.date.available2025-04-09T19:39:48Z
dc.date.issued2025
dc.date.updated2025-04-06T00:04:08Z
dc.description.abstractBackground In recent years, an increase in surgeries to treat clavicle injuries has been reported. It has been hypothesized that the studies regarding the beneficial effect of surgery in patients with displaced clavicle fractures may have contributed to raise the surgical rates for injuries around the clavicle. To our knowledge, there is a lack of data from Latin American countries on surgical rates of clavicle-related surgeries. The aim of this study is to describe the rate of clavicle surgeries, including clavicle fracture and acromioclavicular dislocation, in the last 15 years and to analyze the possible effect of sex, age, and health insurance in those rates. Methods An observational cross-sectional study was carried out. Patients over 18 years old diagnosed with the following ICD-10 codes were selected: S420 "Clavicle fracture", S431 "Dislocation of the acromioclavicular joint", and S435 "Sprains and strains of the acromioclavicular joint". We collected information on the year of surgery, sex, age and type of insurance. The annual rate of surgeries and the rate for the period studied per 100,000 people were calculated. The rate was compared through negative binomial regression, reporting Incidence Rate Ratios (IRR) with 95% confidence interval (95% CI). Results During a 15 years period of observation, 24,570 surgeries were performed. For clavicle fractures an 8.0 × 100,000 surgical rate was observed, and a 4.7 × 100,000 rate was found for acromioclavicular dislocations. The surgical rate for clavicular injuries increased from 2.8 in 2005 to 19.1 in 2019. Rates were higher in men, and ages between 20 and 35 years. The surgical rate for clavicular injuries in the public system was 11.1 × 100,000 and 30.9 × 100,000 in the private system, which represents a difference of 2.8 times between those healthcare systems. Conclusion There has been a significant increase in clavicle and acromioclavicular dislocation surgeries in Chile, with disparities influenced by age, gender, and type of health insurance.
dc.estado.patente2025-04-06
dc.fechaingreso.objetodigital2025-04-06
dc.format.extent8 páginas
dc.fuente.origenBiomed Central
dc.identifier.citationBMC Musculoskeletal Disorders. 2025 Apr 02;26(1):316
dc.identifier.doi10.1186/s12891-024-07769-4
dc.identifier.issn1471-2474
dc.identifier.urihttps://doi.org/10.1186/s12891-024-07769-4
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103174
dc.information.autorucEscuela de Medicina; Vidal Olate, Catalina Victoria; 0000-0002-4700-7360; 224002
dc.information.autorucEscuela de Medicina; Marinis Acle, Rodrigo Ignacio de; 0000-0003-1888-8928; 237996
dc.information.autorucS/I; S/I; S/I; S/I
dc.information.autorucEscuela de Medicina; Liendo Verdugo, Rodrigo Javier; S/I; 1052242
dc.information.autorucEscuela de Medicina; Silva Canales, Isadora Camila del Carmen; S/I; 1047372
dc.information.autorucEscuela de Medicina; Lira Salas, María Jesús; 0000-0001-8512-1052; 195663
dc.information.autorucEscuela de Medicina; Contreras Fernández, Julio José; S/I; 1157009
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.publisherSpringer Nature
dc.revistaBMC Musculoskeletal Disorders
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.rights.licenseAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectClavicle fracture
dc.subjectAcromioclavicular joint dislocation
dc.subjectSurgery
dc.subjectInsurance
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleIncreasing surgical rate of clavicle fractures and acromioclavicular dislocations in Chile: analysis over the last 15 years reveals disparities in access according to insurance type
dc.typeartículo
dc.volumen26
sipa.codpersvinculados224002
sipa.codpersvinculados237996
sipa.codpersvinculadosS/I
sipa.codpersvinculados1052242
sipa.codpersvinculados1047372
sipa.codpersvinculados195663
sipa.codpersvinculados1157009
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